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All Journal International Journal of Public Health Excellence (IJPHE) International Journal of Community Service (IJCS)
Normayanti Rambe
Institut Kesehatan Helvetia Pekanbaru, Indonesia
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Empowering Community Health Cadres through Integrated Health Education to Improve Early Detection and Management of Chronic Diseases: A Community-Based Participatory Approach Priyo Sasmito; Normayanti Rambe; Tiasa Pohan; Ageng Septa Rini; Siti Khadijah Batubara; Zainuddin Zainuddin; Martua Siregar; Dolly Putra Parlindungan; Burhanuddin Burhanuddin
International Journal of Community Service (IJCS) Vol. 5 No. 2 (2026): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i2.1128

Abstract

Chronic diseases, such as hypertension and diabetes mellitus, present a significant and growing public health burden in many developing regions, including rural Indonesia. Community Health Cadres (CHCs) are pivotal frontline health volunteers, yet they often lack the comprehensive knowledge and practical skills necessary for effective early detection and community-based management of these conditions. This community service program aimed to empower CHCs through an integrated health education intervention, employing a community-based participatory approach. The program was implemented in [Sebutkan Lokasi, misal: five villages in Yogyakarta] over a six-month period and involved 45 CHCs. The intervention comprised a series of structured training workshops, hands-on practice sessions using portable health devices (e.g., digital sphygmomanometers and glucometers), and the development of simple patient-record-keeping tools. The participatory approach ensured that the CHCs were actively involved in identifying local challenges and co-designing feasible solutions. Pre- and post-intervention assessments revealed a statistically significant improvement in the CHCs' knowledge scores (p < 0.001) and their practical competency in conducting basic health screenings. Furthermore, there was a notable increase in the number of community members referred to primary health centers for confirmatory diagnosis. This program demonstrates that empowering CHCs through targeted, integrated education, grounded in participatory principles, is a viable and effective strategy to strengthen primary healthcare systems. It enhances the capacity for early disease detection and promotes sustainable chronic disease management at the grassroots level, underscoring the critical synergy between community education and public health outcomes.
Analysis Of The Impact Of Health Services And Facilities On The Decline In Patient Visits At Sangkunur Community Health Center Normayanti Rambe; Lisna Khairani Nasution; Susi Febriani Yusuf
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.2037

Abstract

The use of Puskesmas as a center for basic health services in the community is still minimal. The results of the North Sumatra Provincial Susenas in 2021 where the population who treated the road was recorded at 17.47% in utilizing the Auxiliary Puskesmas / Puskesmas. The study aims to analyze the effect of health worker services, facilities, and infrastructure on the decrease in community patient visits (non-PBI) of the Sangkunur Health Center. The type of research used is analytical quantitative research with the Explanatory Research type, with a sample of all patients aged ≥ 17 years, who went to the Sangkunur Health Center, with a Non-PBI category of 243 people. The Statistical Test used is the chi-square test and linear logistic regression. The results showed that there was an influence of health services on the decrease in patient visits to the Sangkunur Health Center with a p-value = 0.000. The conclusion is that the poor service of health workers resulted in respondents decreasing visits at the Sangkunur Health Center.
Co-Authors Ageng Septa Rini Burhanuddin Burhanuddin Dolly Putra Parlindungan Lisna Khairani Nasution Martua Siregar Priyo Sasmito Siti Khadijah Batubara Susi Febriani Yusuf Tiasa Pohan Zainuddin Zainuddin